Assistant Compliance and Privacy Manager - JD
About The Position
The Assistant Compliance and Privacy Manager will assist in overseeing key compliance risk areas including general compliance, fraud, waste and abuse, patient and employee confidentiality, organizational privacy, information governance, data risk classification, accountable care organization compliance, Medicare C & D/Medicare Advantage compliance, Federal healthcare program compliance, and vendor management-related compliance issues. The role supports the Director of Corporate Compliance and Senior Compliance and Privacy Manager in implementing policies and procedures, conducting training, and performing investigations. This position involves assisting in compliance program effectiveness reviews, maintaining reporting systems, coordinating internal audits, and monitoring HIPAA/Patient Privacy compliance. The Assistant Manager will review the effectiveness of the Atlantic Health Compliance and Ethics Program, follow up on reported incidents, conduct investigations, and prepare reports. Responsibilities include assessing and updating organizational policies, evaluating potential billing, Stark, Anti-kickback, and patient privacy risks, and collaborating with management to implement solutions. The role also involves managing and investigating compliance questions and complaints, performing data analytics for compliance reporting, developing communication and training programs, and coordinating HIPAA Security compliance activities. Additionally, the Assistant Manager will investigate HIPAA-related complaints, draft responses to regulatory inquiries, review business associate agreements, and draft/review FCPA and OFAC contractual provisions. The position includes conducting risk assessments and audits, providing compliance and privacy training, preparing presentations, and drafting compliance and HIPAA-related policies and procedures. Assistance with conflict-of-interest reviews and recommendations for enhancing internal controls based on regulatory guidance are also key functions.
Requirements
- Report to the Senior Compliance and Privacy Manager (or his/her designee).
- Assist in the oversight of compliance risk areas.
- Support the Director of Corporate Compliance and Senior Compliance and Privacy Manager.
- Ensure implementation of appropriate policies and procedures.
- Support compliance training.
- Conduct investigations.
- Assist in the conduct of compliance program effectiveness reviews.
- Maintain a system of reporting.
- Ensure the integrity of all compliance investigations.
- Coordinate internal audits.
- Monitor HIPAA/Patient Privacy compliance.
- Review the effectiveness of the Atlantic Health Compliance and Ethics Program.
- Follow up on reported incidents of non-compliance.
- Conduct and/or coordinate internal investigations.
- Prepare reports on incidents and investigation findings.
- Assess compliance of the organization's policies.
- Assist in updating or developing new policies.
- Assist in evaluating areas of potential billing, Stark, Anti-kickback compliance or patient privacy risk.
- Collaborate with other managers within the organization to work with management to implement solutions to eliminate potential risks.
- Manage and investigate compliance questions, complaints, and reported incidents.
- Perform data analytics for compliance reporting.
- Develop reports for monitoring and auditing, case management and federal reporting.
- Develop organizational wide compliance communication plan, communications, and training programs.
- Assist with the coordination of HIPAA Security compliance activities.
- Investigate HIPAA-related complaints.
- Draft corresponding reports for HIPAA-related complaints.
- Draft responses to HIPAA-related regulatory inquiries.
- Review business associate agreements, data use agreements, and limited data set agreements.
- Draft/review FCPA and OFAC contractual provisions.
- Conduct risk assessments and audits pertaining to assigned compliance risk areas.
- Conduct compliance and privacy training and education.
- Prepare PowerPoints and present educational or compliance-related topics.
- Draft compliance and HIPAA-related policies and procedures.
- Draft policies and procedures related to other assigned risk areas.
- Assist in conflict-of-interest reviews, evaluations, and determinations.
- Assist in conflict-of-interest endorsement requests reviews.
- Review applicable regulations, relevant case law, and regulatory oversight agency guidance and enforcement decisions.
- Make recommendations to enhance current internal controls, as necessary.
Responsibilities
- Assist in the oversight of general compliance and compliance program effectiveness.
- Assist in overseeing compliance related to fraud, waste and abuse and Deficit Reduction Act of 2005 workforce member and contractor compliance.
- Assist in overseeing patient and employee confidentiality, organizational privacy, information governance, and data risk classification.
- Assist in overseeing accountable care organization compliance.
- Assist in overseeing Medicare C & D/Medicare Advantage compliance program requirements.
- Assist in overseeing Federal healthcare program compliance.
- Assist in overseeing vendor management-related compliance issues.
- Support the Director of Corporate Compliance and Senior Compliance and Privacy Manager to ensure implementation of appropriate policies and procedures.
- Support compliance training.
- Conduct investigations.
- Assist in the conduct of compliance program effectiveness reviews based on the seven elements of an effective compliance program.
- Maintain a system of reporting and ensure the integrity of all compliance investigations.
- In consultation with the Director of Compliance or the Senior Compliance and Privacy Manager, direct and coordinate internal audits, and monitor HIPAA/Patient Privacy compliance.
- Review the posture of the Atlantic Health Compliance and Ethics Program with regard to its effectiveness to promote, prevent, detect, and resolve instances of improper conduct.
- Follow up on reported incidents of non-compliance.
- Conduct and/or coordinate internal investigations.
- Prepare reports on incidents and investigation findings.
- Assess compliance of the organization's policies and assist in updating or developing new policies.
- Assist in evaluating areas of potential billing, Stark, Anti-kickback compliance or patient privacy risk.
- Collaborate with other managers within the organization to work with management to implement solutions to eliminate potential risks.
- Manage and investigate compliance questions, complaints, and reported incidents in collaboration with management, legal and human resources, as needed.
- Responsible for Compliance Program data analytics to develop reports for monitoring and auditing, case management and federal reporting.
- Responsible for developing organizational wide compliance communication plan, communications, and training programs.
- Assist the Director of Compliance and the Senior Compliance and Privacy Manager with the coordination of HIPAA Security compliance activities.
- Investigate HIPAA-related complaints and draft corresponding reports.
- Under the direction of the Director of Compliance or Senior Compliance and Privacy Manager, draft responses to HIPAA-related regulatory inquiries.
- In consultation with the Director of Compliance or Senior Compliance and Privacy Manager, review business associate agreements, data use agreements, and limited data set agreements.
- In consultation with the Director of Compliance or Senior Compliance and Privacy Manager, draft/review FCPA and OFAC contractual provisions.
- Conduct risk assessments and audits pertaining to assigned compliance risk areas.
- Conduct compliance and privacy training and education.
- Prepare PowerPoints and present educational or compliance-related topics to AH constituents.
- Under the oversight of a supervising compliance leader, draft compliance and HIPAA-related policies and procedures, as well as policies and procedures related to other assigned risk areas.
- Assist in conflict-of-interest reviews, evaluations, and determinations.
- Assist in conflict-of-interest endorsement requests reviews.
- Review applicable regulations, relevant case law, and regulatory oversight agency guidance and enforcement decisions.
- Make recommendations to enhance current internal controls, as necessary.
Benefits
- Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
- Life & AD&D Insurance.
- Short-Term and Long-Term Disability (with options to supplement)
- 403(b) Retirement Plan: Employer match, additional non-elective contribution
- PTO & Paid Sick Leave
- Tuition Assistance, Advancement & Academic Advising
- Parental, Adoption, Surrogacy Leave
- Backup and On-Site Childcare
- Well-Being Rewards
- Employee Assistance Program (EAP)
- Fertility Benefits, Healthy Pregnancy Program
- Flexible Spending & Commuter Accounts
- Pet, Home & Auto, Identity Theft and Legal Insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
